The controversy around HRT always existed however many physicians feel that menopause, although natural, may create some problems for women.
Our life expectancy is much longer than it was a hundred years ago so one needs to recognise that women are living for 40 years of their lives without the hormones that are necessary for a healthy immune system and heart, healthy skin and other problems.
HRT is the bedrock of reproductive medicine.
It is important that a woman who reaches menopause feels good and able to have a level playing field and prolong a good quality of life. If for example there is a requirement of hormones in the thyroid or ovaries, this can be adjusted with HRT.
Women who are menopausal may suffer from hot flushes, they may be unable to sleep, suffer from incontinence or vaginal dryness and develop a lack of interest in sex.
Hot flushes and sweats, vaginal dryness, a healthier more hydration skin, concentration and alertness can be treated within days. Other symptoms like an improvement in increased thickness in skin may need a longer time to see the effects.
There are many different types of routes to HRT that you can use and you can watch the whole interview below.
Professor Brincat served as Chairman and Director of Obstetrics and Gynaecology with the Department of Health on the Maltese Islands from 1991-2018. He is currently a Professor at the University of Malta Medical School (O&G) and Hon. Clinical Professor at Queen Mary University London (QMUL), from Nov 2017 to present (Medical Education). He is also an Associate Dean at QMUL, Bart’s Medical School (Malta).Professor Brincat has held several posts and has served on several committees including ISGE, EMAS, IMS and ESHRE. His academic work was mostly in Gynaecological Endocrinology. He has had a special interest in Menopause and his PhD (King’s College, University of London) concerning work on the relationship of Menopause and HRT on connective tissue, particularly on the skin and bone.
He has presented keynote lectures and published extensively on the subject of menopause in a broad range of subjects. He also founded the first Maltese ART (IVF) Unit and has also had a long-standing interest in reproductive endocrinology and infertility.